Healthcare Provider Details

I. General information

NPI: 1952336711
Provider Name (Legal Business Name): DELIA L JAMES APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 WEST 5TH ST. HEMPSTEAD COUNTY HEALTH UNIT
HOPE AR
71801
US

IV. Provider business mailing address

164 WILDWOOD LN
HOPE AR
71801-6006
US

V. Phone/Fax

Practice location:
  • Phone: 870-777-2191
  • Fax: 870-777-6607
Mailing address:
  • Phone: 870-777-8488
  • Fax: 870-777-6607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number01021
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNOT APPLICABLE
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number01021
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNOT APPLICABLE
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: